Lemierre综合征诊治国内外现状分析及文献复习

Analysis of current domestic and international situation of diagnosis and treatment of Lemierre syndrome and literature review

  • 摘要: Lemierre综合征(LS)的特征是在初始感染症状(如咽痛等)后发生脓毒症,并继发多种脓毒性栓塞事件(如颈内静脉血栓、肺栓塞等)。目前,临床尚无基于循证医学的LS治疗指南,抗凝治疗的应用存在争议。本研究采用文献计量学方法检索多个数据库,分析国外LS研究现状及诊治方法,并筛选出12例中国大陆地区的LS病例进行系统综述与文献复习。尽管目前LS患者的病死率较低,但由于该病难以识别且缺乏明确诊疗指南,临床医师仍需高度重视。

     

    Abstract: Lemierre syndrome (LS) is characterized by the occurrence of sepsis after initial infectious symptoms (such as sore throat) and the subsequent development of multiple septic embolic events (such as internal jugular vein thrombosis, pulmonary embolism). At present, there are no evidence-based medicine-based treatment guidelines for LS in clinical practice, and there is controversy over the application of anticoagulant therapy. This study used bibliometric methods to search multiple databases, analyzed of the current research status and diagnosis and treatment methods of LS abroad, and selected 12 cases of LS in mainland of China for systematic review and literature review. Although the current case-fatality rate of LS patients is relatively low, due to the difficulty in identifying the disease and the lack of clear diagnosis and treatment guidelines, clinicians still need to attach great importance to it.

     

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